Dental Antibiotic Prophylaxis

December 21, 2016

Antibiotic prophylaxis is the administration of antibiotics to a patient that has the potential of harmful consequences with an episode of bacteremia. The potential for bacteremia is present when there is manipulation of the oral mucosa.

Official guidelines for dental antibiotic prophylaxis are instituted to prevent infective endocarditis and infection of prosthetic joints.

The American Heart Association recommends antibiotic prophylaxis in the following scenarios:

A prosthetic heart valve or repair of valve with prosthetic material.

History of prior infective endocarditis

Cyanotic congenital heart disease that is unrepaired

Repaired congenital heart defects for the first 6 months

Repaired congenital heart disease with residual defects

The Association of Orthopaedic Surgeons and the ADA in 2014 after an exhaustive systematic review of available evidence have come to the conclusion that antibiotic prophylaxis is not recommended to prevent prosthetic joint infections. At this moment it is recommended to take into consideration: scientific evidence, the clinician’s experience and the patient’s values.

If antibiotic prophylaxis is appropriate for your patient the following antibiotics and dosing can be used 30-60 min prior to procedure:

Amoxicillin 2g or 50mg/kg

Clindamycin 600mg or 20mg/kg

Azithromycin 500mg or 15mg/kg

Some additional clinical scenarios that may require prophylaxis and should be cleared by the patient’s physician include: renal dialysis shunt, CSF shunt, chemotherapy. When in doubt always check with the patient’s physician, as the patient’s safety is of utmost importance. Dr. Benjamin Yagoubian at Torrance Oral Surgery and Dental Implant Center, has the patient’s safety and comfort as primary concern. Dr. Benjamin Yagoubian takes the time to interview every patient to discuss what is the best method of treatment to ensure a safe environment.

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Torrance Oral Surgery Center

Our Client Reviews

5.0/ 5.0

Based on 174 reviews

Paul M.

A positive experience from start to end.
I got a sense that this was going to go well and it did. Two extractions, two implants, bone graft and removal of four part bridge. Leaving part of the bridge on one tooth. If there were 10stars they would be for Torrance oral surgery group and Dr. Alicia Wolf / Blanco Demtal Group for recommending Ben.

Mindy W.

This is a very welcoming center. Everyone seemed very competent and helpful. I had an oral biopsy today. No waiting. The staff were ready for me and all was in place. Dr. Yagoubian was warm , cheerful and I felt in extremely capable hands. I am so grateful I was referred to him. Sincerely, Mindy W.

Jessica Z.

The staff here are super friendly and always show genuine concern. I got my wisdom teeth pulled about a year ago and Dr. Yagoubian and his staff made me feel less anxious about the procedure. When I was done, they were thorough with their instructions on how to take care of myself while my wounds healed. They even gave me an ice pack to wrap around my head for the swelling (super useful). Dr. Yagoubian even called to check in on me after the surgery. So when I needed more extractions done this year for orthodontic treatment, I made an appointment here and once again I was well taken care of. Every single person in this office was friendly. During the procedure, they made me feel less anxious even though I was super shaky about getting local anesthesia. They gave me detailed instructions on how to care for my wounds, always gave me an opportunity to ask questions. And once again, Dr. Yagoubian called after the procedure to make sure I was doing well. Now, anytime someone mentions they need their wisdom teeth removed, I tell them Dr. Yagoubian is the man!!

D. W.

What a nice and knowledgeable Doctor!
Dr. Ben took the time to answer all our questions about the removal of all four wisdom teeth. He explained in detailed what was going to happen and the reason why he does the procedure.
It’s obvious that he loves what he does.
His staff is very welcoming and friendly.
The nice lady in charge of the billing explained very clearly everything.
Dr. Ben even called us the evening after the surgery to check if everything was ok.
We highly recommend Dr. Yagoubian!

Chahab S.

Dr Yagoubian is an excellent oral surgeon, supported by a very professional staff. They made the experience as stress-free as possible.
Highly recommended.

Dr.Lou T.

Very professional and always available. My patients have always had good experiences with the office.

JOHNNY P.

Dr. Benjamin is awesome I highly recommend him to everyone he is highly efficient and fast he knows how to comply with patient needs and overall is an amazing guy ! Check him out he is awesome!!!

Raj G.

Dr. Yagoubian is excellent. I was in state for business when my wisdom tooth broke. I was lucky enough to find Dr. Yagoubian's office. Everyone there was professional and courteous. The procedure went smoothly. Dr. Y is highly skilled, meticulous, and a very personable health care provider (a rarity in the field, in my opinion). If you need an oral surgeon, I highly recommend him.

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All reviews

Paul M.

A positive experience from start to end.
I got a sense that this was going to go well and it did. Two extractions, two implants, bone graft and removal of four part bridge. Leaving part of the bridge on one tooth. If there were 10stars they would be for Torrance oral surgery group and Dr. Alicia Wolf / Blanco Demtal Group for recommending Ben.

Mindy W.

This is a very welcoming center. Everyone seemed very competent and helpful. I had an oral biopsy today. No waiting. The staff were ready for me and all was in place. Dr. Yagoubian was warm , cheerful and I felt in extremely capable hands. I am so grateful I was referred to him. Sincerely, Mindy W.

Jessica Z.

The staff here are super friendly and always show genuine concern. I got my wisdom teeth pulled about a year ago and Dr. Yagoubian and his staff made me feel less anxious about the procedure. When I was done, they were thorough with their instructions on how to take care of myself while my wounds healed. They even gave me an ice pack to wrap around my head for the swelling (super useful). Dr. Yagoubian even called to check in on me after the surgery. So when I needed more extractions done this year for orthodontic treatment, I made an appointment here and once again I was well taken care of. Every single person in this office was friendly. During the procedure, they made me feel less anxious even though I was super shaky about getting local anesthesia. They gave me detailed instructions on how to care for my wounds, always gave me an opportunity to ask questions. And once again, Dr. Yagoubian called after the procedure to make sure I was doing well. Now, anytime someone mentions they need their wisdom teeth removed, I tell them Dr. Yagoubian is the man!!

D. W.

What a nice and knowledgeable Doctor!
Dr. Ben took the time to answer all our questions about the removal of all four wisdom teeth. He explained in detailed what was going to happen and the reason why he does the procedure.
It’s obvious that he loves what he does.
His staff is very welcoming and friendly.
The nice lady in charge of the billing explained very clearly everything.
Dr. Ben even called us the evening after the surgery to check if everything was ok.
We highly recommend Dr. Yagoubian!

Chahab S.

Dr Yagoubian is an excellent oral surgeon, supported by a very professional staff. They made the experience as stress-free as possible.
Highly recommended.

Dr.Lou T.

Very professional and always available. My patients have always had good experiences with the office.

JOHNNY P.

Dr. Benjamin is awesome I highly recommend him to everyone he is highly efficient and fast he knows how to comply with patient needs and overall is an amazing guy ! Check him out he is awesome!!!

Raj G.

Dr. Yagoubian is excellent. I was in state for business when my wisdom tooth broke. I was lucky enough to find Dr. Yagoubian's office. Everyone there was professional and courteous. The procedure went smoothly. Dr. Y is highly skilled, meticulous, and a very personable health care provider (a rarity in the field, in my opinion). If you need an oral surgeon, I highly recommend him.

Millea & Honigsfeld Coaching

The experience from start to finish was impressive. Theie bedside manner was second to none and the process was explained so thoroughly I had no doubt in my mind they were the ones to get the job done. Thank you so much for everything you did.

Ed

I had to have two wisdom teeth pulled, and was pretty nervous about it. Dr. Yagoubian went over the procedure thoroughly and really put me at ease about it. During the procedure, he was really calm and that helped a lot. I would highly recommend him.